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<html lang="en">
<head>
	<meta charset="UTF-8">
	<meta name="viewport" content="target-densitydpi=device-dpi,width=device-width,initial-scale=1,user-scalable=no,minimum-scale=1.0,maximum-scale=1.0">
	<title>半径500米_交友</title>
	<link rel="stylesheet" type="text/css" href="css/style.css"></head>
<body>
<!--<header>
		<h1>"半径500米"交友</h1>
		<a href="" class="go_main">选项</a>
		<a href="" class="go_back">返回</a>
	</header>
-->
<div class="content">
	<form action="">
		<div class="apply_table">
			<table >
					<tr>
						<td width="28%">姓名</td>
						<td><input type="text" placeholder="请输入真实姓名"></td>
					</tr>
					<tr>
						<td>联系电话</td>
						<td><input type="text" placeholder="请输入真实联系号码"></td>
					</tr>
					<tr>
						<td>单位名称</td>
						<td><input type="text" placeholder="请输入真实单位名称"></td>
					</tr>
				</table>
		</div>
		<input type="button" class="ui_but m12a02 submit" value="提交报名">
		<p class="time">注:以上信息仅作为报名使用,不会泄露给第三方!</p>

		<a href="" class="ui_but m12a02 submit">提交报名</a>
		<p class="time">注:以上信息仅作为报名使用,不会泄露给第三方!</p>	
		<input type="submit" style="position: absolute;top: -99em;">
	</form>
	
</div>




</body>
</html>